Wounds

Question 1

Scrape of the superficial layers of the skin

Answer 1

Abrasion

Question 2

Localized collection of pus resulting from invasion from a pyogenic bacterium

Answer 2

Abscess

Question 3

closed wound caused by blunt trauma

Answer 3

Contusion

Question 4

wound caused by force leading to compression or disruption of tissues

Answer 4

Crushing

Question 5

Superficial wound, usually self-inflicted due to excessive scratching or mechanical force

Answer 5

Excoriation

Question 6

An open, intentional wound caused by a sharp instrument

Answer 6

incision

Question 7

skin or mucous membranes are torn open, resulting in wound with jagged margins

Answer 7

Laceration

Question 8

Open wound in which the agent causing the wound lodges in the body tissue

Answer 8

Penetrating

Question 9

Open wound caused by sharp object

Answer 9

Puncture

Question 10

A wound with entrance and exit sites

Answer 10

Tunnel

Question 11

Exists when there are no breaks in the skin. contusions (bruises), or tissue swelling

Answer 11

Closed wound

Question 12

Occurs when there is a break in the skin or mucus membranes. abrasions, lacerations, puncture wounds, and surgical incisions.

Answer 12

Open wound

Question 13

Wounds that heal in short period of time. no interruption in healing process.

Answer 13

Acute wounds

Question 14

wounds that exceed the expected length of recovery, usually because the natural healing progression has been interrupted

Answer 14

Chronic wounds

Question 15

Takes place when a wound affects only the epidermis and dermis. no scar is formed

Answer 15

Regenerative/epithelial healing

Question 16

Occurs when a wound involves minimal or no tissue loss and has edges that are well approximated (closed)

Answer 16

Primary (first) intention healing

Question 17

Occurs when a wound (1) involves excessive tissue loss that prevents wound edges from approximating or (2) should not be closed (e.g. due to infection.

Answer 17

Secondary intention healing

Question 18

Phase last from 1 - 5 days and consist of two major processes: hemostasis and inflammation

Answer 18

Inflammatory Phase - cleansing

Question 19

Phase occurs from days 5 - 21. Cells develop to fill the wound defect and resurface the skin

Answer 19

Proliferative Phase- Granulation tissue

Question 20

Final phase of the healing process, known as remodeling, begins in the second or third week and continues even after the wound has closed.

Answer 20

Maturation Phase- Epithelialization Phase

Question 21

Types of wound closures

Answer 21

Adhesive strips, Surgical staples, sutures, and surgical glue

Question 22

Rupture (separation) of one or more layers of a wound

Answer 22

Dehiscence

Question 23

Total separation of the layers of a wound with internal viscera protruding through incision.

Answer 23

Evisceration

Question 24

(Pus) drainage that oozes from a wound or cavity

Answer 24

Exudate

Question 25

Bloody drainage

Answer 25

Sanguineous drainage

Question 26

Light pink drainage, most commonly seen in new wounds

Answer 26

Serosanguineous drainage

Question 27

Yellow in color, thick, seen in infected wounds

Answer 27

Purulent

Question 28

Red-tinged pus

Answer 28

Purosanguineous drainage

Question 29

What action should you take if evisceration occurs?

Answer 29

Immediately cover the wound with a sterile towel or dressing soaked in sterile saline solution to prevent the organs from drying out.

Question 30

Non- blanchable erythema (redness) of intact skin

Answer 30

Stage 1 of pressure injury

Question 31

Partial thickness skin loss with exposed dermis

Answer 31

Stage 2 of pressure injury

Question 32

full thickness skin loss

Answer 32

Stage 3 of pressure injury

Question 33

Full thickness skin and tissue loss

Answer 33

Stage 4 of pressure injury

Question 34

Unstageable

Answer 34

Stage 5

Question 35

Compressed small blood vessels, hindering blood flow and nutrient supply

Answer 35

Pressure

Question 36

When skin is moist, fragile, or rubbed against another surface (wrinkled sheets)

Answer 36

Friction

Question 37

When one layer of tissue slides horizontally over another, compressing adipose tissue and muscle tissue, and reducing normal blood flow

Answer 37

Shear

Question 38

Urine, stool, and sweat macerate the skin

Answer 38

Moisture

Question 39

Bed sores, pressure sore, and pressure ulcer are examples of.

Answer 39

Pressure injuries

Question 40

Outer portion of the skin

Answer 40

Epidermis

Question 41

protein containing cells that gives the skin strength and elasticity

Answer 41

Keratinocytes

Question 42

Produces melanin, a pigment that gives skin its color and protects from ultraviolet light

Answer 42

Melanocytes

Question 43

Phagocytize (engulf) foreign materials and trigger an immune response

Answer 43

Langerhans

Question 44

Structures of the skin

Answer 44

Epidermis, Dermis, and subcutaneous tissue

Question 45

Disruption in the normal skin integrity

Answer 45

wound

Question 46

Lies below the epidermis and above the subcutaneous tissue. nerves, hair follicles, glands, immune cells, and blood vessels

Answer 46

Dermis

Question 47

Fat; stores fat for energy. Provides insulation, protection and a reserve of calories in the event of severe malnutrition

Answer 47

Subcutaneous tissue

Question 48

surgical wound

Answer 48

Intentional

Question 49

traumatic

Answer 49

unintentional

Question 50

Types of wound dressings

Answer 50

Those that maintain moisture Those that absorb moisture Those that add moisture

Question 51

Cover topical medications that is applied to a skin lesion

Answer 51

Occlusive Dressing

Question 52

Efficient at removing exudate because of their higher moisture-vapor transmission rate; some have reservoirs that can hold excessive exudate

Answer 52

Moisture- Retentive Dressings

Question 53

Contain antiseptics, cadexomer iodine, honey, hydrofera blue, mupirocin, or silver to reduce the risk of infection

Answer 53

Antimicrobial dressing

Question 54

Protein based and derived dorm animal sources (bovine, equine, porcine, or avian) that promote wound healing

Answer 54

Collagens dressing

Question 55

Combined components from several dressing types into a single dressing that is absorptive and that provide protection from bacteria and fluids.

Answer 55

Composites dressing

Question 56

Thin, nonadherent, conforming dressings that are directly applied to wounds for protections

Answer 56

Contact layer dressing

Question 57

Polymer membranes, permeable to moisture vapors and oxygen, but impermeable to water, liquids and bacteria

Answer 57

Transparent Films Dressings

Question 58

Steps in changing the Dressing

Answer 58

1. Prepare the patient 2. Use appropriate aseptic techniques 3. Hand hygiene before and after 4. Adhere to standard and transmission-based precautions 5. Remove old dressing 6. Cleanse the wound 7. Apply the new dressing 8. Secure the dressing

Question 59

Test that is used to examine cells from blistering skin conditions, such as herpes zoster, varicella, herpes simplex, and all forms of pemphigus

Answer 59

Tzanck Smear

Question 60

Test that involves applying the suspected allergens, such as nickel or fragrances to normal skin under occlusive patches

Answer 60

Patch Testing

Question 61

Tissue samples are scraped from suspected fungal lesions with a scalpel blade that has been moistened with oil so that the scraped skin adheres to the blade

Answer 61

Skin scrapings

Question 62

Photographs are taken to document the nature and extent of the skin and are used to determine progress or improvement resulting from treatment

Answer 62

Clinical Photographs